Incarcerated uterus - Revision history

Rossdonaldson1 at 16:45, 1 May 2024

2024-05-01T16:45:12Z

← Older revision		Revision as of 16:45, 1 May 2024
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			==Background==
			[[File:Figure 28 02 01.png\|thumb\|Normal female anatomy with uterus highlighted.]]
	[[File:Incarcerateduterus.JPG\|thumb\|Incarcerated Uterus: Compression and anterior displacement of bladder into abdominal cavity with compression of rectum. Most common presenting symptoms is urinary retention.]]		[[File:Incarcerateduterus.JPG\|thumb\|Incarcerated Uterus: Compression and anterior displacement of bladder into abdominal cavity with compression of rectum. Most common presenting symptoms is urinary retention.]]

	~~==Background==~~
	*Retroverted uterus is a normal variant (up to 20% of the population).		*Retroverted uterus is a normal variant (up to 20% of the population).
	*During pregnancy, a retroverted uterus spontaneously flips to become anteverted at 14-16 weeks gestation age.		*During pregnancy, a retroverted uterus spontaneously flips to become anteverted at 14-16 weeks gestation age.

ClaireLewis at 14:22, 5 September 2019

2019-09-05T14:22:32Z

← Older revision		Revision as of 14:22, 5 September 2019
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	*Urinary Symptoms		*Urinary Symptoms
	**[[Urinary retention]] is the most common presenting symptom.		**[[Urinary retention]] is the most common presenting symptom.
	**Overflow incontinence		**Overflow [[urinary incontinence\|incontinence]]
	**Urgency, frequency		**Urgency, frequency
	**[[Dysuria]]		**[[Dysuria]]
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	===PMH===		===PMH===
	*Posterior and/or fundal fibroids		*Posterior and/or fundal fibroids
	*Endometriosis, adhesive disease (prior surgery, peritonitis, PID)		*[[Endometriosis]], adhesive disease (prior surgery, [[peritonitis]], [[PID]])
	*Prior history of incarcerated uterus		*Prior history of incarcerated uterus

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	*Urine pregnancy, beta-HCG		*Urine pregnancy, beta-HCG
	*CBC with differential		*CBC with differential
	*BMP, Mg/Phos, LFTs		*BMP, Mg/Phos, [[LFTs]]
	*[[UA]]/Urine Culture		*[[UA]]/Urine Culture
	*PTT/PT/INR		*PTT/PT/INR
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	*Maternal		*Maternal
	**[[Acute renal failure]]		**[[Acute renal failure]]
	**Severe hypertension resistant to medications		**Severe [[hypertension]] resistant to medications
	**Lower limb edema		**Lower limb edema
	**Uterine ischemia		**Uterine ischemia
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	**[[DVT]], Post-partum [[PE]]		**[[DVT]], Post-partum [[PE]]
	*Fetal		*Fetal
	**Premature labor		**[[Premature labor]]
	**Fetal mortality rate 33% (Gibbons and Paley)		**Fetal mortality rate 33% (Gibbons and Paley)

Rossdonaldson1: Text replacement - "UA" to "UA"

2016-11-13T19:01:54Z

Text replacement - "*UA" to "*UA"

← Older revision		Revision as of 19:01, 13 November 2016
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	*CBC with differential		*CBC with differential
	*BMP, Mg/Phos, LFTs		*BMP, Mg/Phos, LFTs
	*UA/Urine Culture		*[[UA]]/Urine Culture
	*PTT/PT/INR		*PTT/PT/INR
	*Type and cross 2 units PRBC if bleeding concern		*Type and cross 2 units PRBC if bleeding concern

Gkatzb: Inserted image and caption

2016-10-07T02:05:24Z

Inserted image and caption

← Older revision		Revision as of 02:05, 7 October 2016
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			[[File:Incarcerateduterus.JPG\|thumb\|Incarcerated Uterus: Compression and anterior displacement of bladder into abdominal cavity with compression of rectum. Most common presenting symptoms is urinary retention.]]

	==Background==		==Background==
	*Retroverted uterus is a normal variant (up to 20% of the population).		*Retroverted uterus is a normal variant (up to 20% of the population).

ClaireLewis at 20:07, 4 October 2016

2016-10-04T20:07:35Z

← Older revision		Revision as of 20:07, 4 October 2016
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	*Gibbons JM Jr, Paley WB. The incarcerated gravid uterus. Obstet Gynecol 1969; 33:842–845		*Gibbons JM Jr, Paley WB. The incarcerated gravid uterus. Obstet Gynecol 1969; 33:842–845
	<references/>		<references/>

			[[Category:OBGYN]]

ClaireLewis at 19:58, 4 October 2016

2016-10-04T19:58:46Z

← Older revision		Revision as of 19:58, 4 October 2016
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	*Symptomatology is the result of compression of pelvic structures from enlarging uterus		*Symptomatology is the result of compression of pelvic structures from enlarging uterus
	*Urinary Symptoms		*Urinary Symptoms
	**Urinary retention is the most common presenting symptom.		**[[Urinary retention]] is the most common presenting symptom.
	**Overflow incontinence		**Overflow incontinence
	**Urgency		**Urgency, frequency
	**~~Frequency~~		**[[Dysuria]]
	**Dysuria
	*Rectal symptoms		*Rectal symptoms
	**Constipation		**[[Constipation]]
	**Rectal pressure		**Rectal pressure, tenesmus
	**Tenesmus		*Uncontrollable lower [[abdominal pain]]
	*Uncontrollable lower abdominal pain		*[[Pelvic pain]]
	*Pelvic pain		*[[Back pain]]
	*Back pain		*[[Vaginal Bleeding]]
	*Vaginal Bleeding

	===PMH===		===PMH===
	*Posterior ~~fibroids~~		*Posterior and/or fundal fibroids
	*Fundal fibroids		*Endometriosis, adhesive disease (prior surgery, peritonitis, PID)
	*Endometriosis
	*Adhesive disease (prior surgery, peritonitis, PID)
	*Prior history of incarcerated uterus		*Prior history of incarcerated uterus

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	===Labs===		===Labs===
	*Urine pregnancy		*Urine pregnancy, beta-HCG
	*Beta-HCG
	*Stat Hematocrit
	*CBC with differential		*CBC with differential
	*BMP, Mg/Phos		*BMP, Mg/Phos, LFTs
	*LFT
	*UA/Urine Culture		*UA/Urine Culture
	*PTT/PT/INR		*PTT/PT/INR
	*HIV
	*Type and cross 2 units PRBC if bleeding concern		*Type and cross 2 units PRBC if bleeding concern

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	*Transvaginal Ultrasound		*Transvaginal Ultrasound
	*Non-emergent MRI if unable to obtain transvaginal ultrasound		*Non-emergent MRI if unable to obtain transvaginal ultrasound
	*Consider ~~Post~~-void residual		*Consider post-void residual

	==Management==		==Management==
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	===Complications===		===Complications===
	*Maternal		*Maternal
	**Acute renal failure		**[[Acute renal failure]]
	**Severe hypertension resistant to medications		**Severe hypertension resistant to medications
	**Lower limb edema		**Lower limb edema
	**Uterine ischemia		**Uterine ischemia
	**Sepsis		**[[Sepsis]]
	**DVT		**[[DVT]], Post-partum [[PE]]
	**Post-partum PE
	*Fetal		*Fetal
	**Premature labor		**Premature labor
	**Fetal death
	**Fetal mortality rate 33% (Gibbons and Paley)		**Fetal mortality rate 33% (Gibbons and Paley)

Rossdonaldson1: /* Evaluation */

2016-10-04T17:05:27Z

Evaluation

@@ Line 51: / Line 51: @@
 *ABC’s and Resuscitation if necessary
 *2 large bore IVs
 ==Management==

Rossdonaldson1: /* Differential Diagnosis */

2016-10-04T17:04:13Z

Differential Diagnosis

@@ Line 45: / Line 45: @@
 ==Differential Diagnosis==
 {{Urinary retention DDX}}
 ==Evaluation==

Gkatzb: Wrote background, clinical features, ddx, evaluation, management, and disposition

2016-10-04T02:24:08Z

Wrote background, clinical features, ddx, evaluation, management, and disposition

@@ Line 1: / Line 1: @@
 ==Background==
 ==Clinical Features==
 ==Differential Diagnosis==
 {{Abdominal Pain Pregnancy DDX}}
 ==Evaluation==
 ==Management==
 ==Disposition==
 ==See Also==
@@ Line 17: / Line 135: @@
 ==References==
 <references/>

Rossdonaldson1: /* Differential Diagnosis */

2016-10-04T01:00:26Z

Differential Diagnosis

← Older revision		Revision as of 01:00, 4 October 2016
Line 4:		Line 4:

	==Differential Diagnosis==		==Differential Diagnosis==
			{{Abdominal Pain Pregnancy DDX}}

	==Evaluation==		==Evaluation==

Incarcerated uterus - Revision history

Rossdonaldson1 at 16:45, 1 May 2024

ClaireLewis at 14:22, 5 September 2019

Rossdonaldson1: Text replacement - "*UA" to "*UA"

Gkatzb: Inserted image and caption

ClaireLewis at 20:07, 4 October 2016

ClaireLewis at 19:58, 4 October 2016

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Differential Diagnosis */

Gkatzb: Wrote background, clinical features, ddx, evaluation, management, and disposition

Rossdonaldson1: /* Differential Diagnosis */

Rossdonaldson1: Text replacement - "UA" to "UA"